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Unexplained Weight Loss Repeated Diarrhoea Swollen Glands Continuous Low-Grade Fever
Tattooing Ear Piercing Dental Extraction
Heart Disease Lung Disease Kidney Disease Cancer/Malignant Disease Epilepsy Diabetes Tuberculosis Abnormal bleeding tendency Hepatitis B/C Allergic Disease Jaundice Sexually Transmitted Disease Malaria Typhoid (Last 1 year) Fainting Spells

I have read and understood all the information presented above and answered all the questions to the best of my knowledge. I hereby declare that:

  • I agree to display my name and mobile on the Shobdibo website with my consent.
  • I am ready to donate blood if requested by Blood Center/patients/patients' relatives voluntarily on my own free will, without any expectation of replacement of blood or any favor in the form of cash or kind.
  • I accept the risk associated with the Blood Donation Procedure.
  • My blood or blood products may be utilized by the Blood Center for unknown recipients requiring blood/blood products or may be disposed of as per Blood Center norms or Government policy.
  • I understand that voluntary blood donation is a humanitarian service and that those requesting my blood may be under stress. I will handle such situations patiently and calmly, even during odd hours. If I need to withdraw my offer as a voluntary blood donor, I will contact SBTC, UP to have my name removed from the list on the website.
  • My blood will be tested for Hepatitis B, Hepatitis C, Malaria Parasite, HIV, and Venereal Diseases, in addition to any other screening tests required for ensuring Blood Safety.
  • All disputes are subject to Bangladesh Jurisdiction only.